Kidventure Registration

For your convenience we are now offering an online form to register your child for the upcoming year of Kidventure. Please complete and submit a separate form for each child you are registering.

If you encounter a *required pop-up when submitting the form, please fill out the required field appropriately. If the field is not applicable please fill out with "na".

Thank You!

2009 - 2010 Child Registration Form

Last Name:
First Name:
Gender:
D.O.B:
Age:











Grade:
List allergies or medical concerns we should
be aware of for your child:
Name:
Allergy/Concern:
Parent's Information:
Father's Name:
Father's Cell:
Mother's Name:
Mother's Cell:
Guardian's Name:
Guardian's Cell:
Child's Address:
City:
State:
Zip Code:  
Phone Number:
Email Address:  
Same as:
Relationship to child: